Incidence of tooth sensitivity after home whitening treatment

Jorgensen, Michael G.; Carroll, William B.

doi:10.14219/jada.archive.2002.0332

Cited by 104 publications

(99 citation statements)

References 12 publications

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“…Other clinical studies have also found that whitening-induced tooth sensitivity was usually temporary with no long-term adverse effects. 29 Hewlett commented that although the sensitivity was usually transient, it could still render tooth whitening unavailable to patients who experienced severe hypersensitivity during the procedure. 30 The intensity of sensitivity also varied greatly among our subjects.…”

Section: Discussionmentioning

confidence: 99%

Effect of chewing gum on tooth sensitivity following whitening

Tang¹,

Millar

2010

Br Dent J

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Section: Discussionmentioning

confidence: 99%

Effect of chewing gum on tooth sensitivity following whitening

Tang¹,

Millar

2010

Br Dent J

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“…Tooth hypersensitivity and/or gingival irritation might appear as negative side effects during the external bleaching of vital teeth. [1][2][3][4][5] In a report on nightguard vital bleaching, side effects were reported to affect up to 67% of all patients treated with this bleaching method. 1 In some experimental findings, small amounts of hydrogen peroxide were detected in the pulp after application of tooth bleaching agents on vital teeth.…”

Section: Introductionmentioning

confidence: 99%

Influence of Bleaching Agents and Desensitizing Varnishes on the Water Content of Dentin

Betke

Kahler

Reitz

et al. 2006

Operative Dentistry

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The dehydration of tooth structure is discussed as a possible factor for tooth hypersensitivity arising during bleaching; however, it still remains unclear to what extent glycerinebased bleaching gels dehydrate dentin and whether dentin hydration can be maintained by protective dentin varnishes. SUMMARYThis in vitro study investigated the possible dehydration of dentin caused by bleaching agents. Furthermore, it tested whether protective dentin varnishes can maintain the physiological moisture of dentin during bleaching treatment. Fifty-five standardized dentin cylinders were prepared from freshly extracted bovine incisors under constant water irrigation. Prior to bleaching, the treatment specimens were conditioned at room temperature in a hygrophor for 14 days. The samples were divided into 11 groups. The Group A specimens, which were completely dehydrated, and Group B, which was stored for 2 weeks in a hygrophor, served as controls (A, B n=5). The other samples (n=10 each group) were coated with Vivasens [VS] (C), Bilfuorid [BF] (D) and Seal&Protect [SP] (E). Five specimens from each group (C-E) were subsequently treated with an experimental bleaching gel (Exp BG) (20% carbamide peroxide [CP], glycerine-based gel): Cb, Db, Eb. The remaining specimens were bleached with Exp BG (F) only, Vivastyle (G: 16% CP, glycerine-based gel) or Vivastyle Paint On (H: 6% CPvarnish) for 7 days (n=5 each group) with bleaching time for gels: 2 hours/day, paint on: 20 minutes/day. After the respective treatments, the overall water content of each specimen was determined using the analytical method of KarlFischer-titration. The water content of bovine dentin (Group B, mean%±SD) obtained in this

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“…Given that there is compelling evidence to suggest that high concentrations of either hydrogen peroxide or carbamide peroxide can lead to adverse effects, such as gingival irritation or tooth sensitivity, it is perhaps wise to prescribe lower concentrations of bleaching agents over longer time periods. 18 The addition of additional ingredients to the proprietary product assessed in this study, namely Xylitol and fluoride (for anticaries effect) and potassium (to reduce sensitivity) appear to have had no adverse effect on bleaching efficacy. While this study has not tested the efficacy of these additions when added to a CP gel, the data suggest that their addition has no impact on the product's ability to alter tooth shade.…”

Section: Researchmentioning

confidence: 77%

The effect of bleaching on enamel susceptibility to acid erosion and demineralisation

2005

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I In nt tr ro od du uc ct ti io on n The purpose of this in vitro study was to determine if enamel that had been bleached by carbamide (urea) peroxide gel (CPG) was at increased risk of either acid erosion or demineralisation (early caries) than un-bleached enamel. M Me et th ho od ds s Human incisors were employed. The samples were randomly assigned to one of 4 groups; a) 10% CPG, b) 16% CPG, c) 22% CPG and d) 10% CPG with xylitol, fluoride and potassium. Each specimen was moistened with saliva and the appropriate formulation placed for 2 hours for a total of 40 hours of exposure. In order to ensure that bleaching had taken place, tooth shades were monitored using the Shade-Eye device. Following the bleaching process, one half of the specimen was subjected to an erosive challenge, the other to a demineralisation system with one half of each sub-sample retained as a non-bleached control. Samples were assessed longitudinally with quantitative light-induced fluorescence (QLF) and at the conclusion of the study with transverse micro-radiography (TMR) R Re es su ul lt ts s Erosion was detected in all samples (∆Q 126±23.4), in both bleached and non-bleached areas. There was no statistical difference between the bleached and non-bleached areas either within the treatment groups or between them. Caries-like lesions were detected on all samples; TMR revealed sub-surface lesions on all teeth and QLF data supported this (∆Q 89±18.9). Following statistical analysis there were no differences detected between the bleached and non-bleached areas, nor between the different concentrations of the bleaching solution. C Co on nc cl lu us si io on n These results suggest that tooth bleaching with carbamide (urea) peroxide (using commercially available concentrations) does not increase the susceptibility of enamel to acid erosion or caries.

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Incidence of tooth sensitivity after home whitening treatment

Cited by 104 publications

References 12 publications

Effect of chewing gum on tooth sensitivity following whitening

Effect of chewing gum on tooth sensitivity following whitening

Influence of Bleaching Agents and Desensitizing Varnishes on the Water Content of Dentin

The effect of bleaching on enamel susceptibility to acid erosion and demineralisation

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